James J. Potter, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-15-01139 Issued in CA

Practice address

3180 Imjin Rd Ste 149
Marina, CA 93933-5111

Phone

(831) 786-0600

Fax

(831) 786-0600

NPI assigned

Dec 28, 2017

Last updated

Dec 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tucci Learning Solutions, Inc.

  • Community/Behavioral Health Agency
  • Marina, CA
  • NPI 1295918563
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1053827055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MILES AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939505517",
            "telephone_number": "831-915-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 IMJIN RD STE 149",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939335111",
            "telephone_number": "831-786-0600",
            "fax_number": "831-786-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "JAMES",
        "middle_name": "J.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-15-01139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Petrini
• Shawanda Lynette Petty
• Philip H Wolff DDS
• Jay Tully Pinkos, DO
• David Pirochta
• Prowellness
• Estefani Puga
• Ashlynn M Quirie
• Karina Ramires
• Marlene Ramirez

• Behavior Technician in Marina, CA
• Providers in Marina, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.